breetel rm 40mg/5mg tablet - Telmisartan (40mg) + Ramipril (5mg) medicine

breetel rm 40mg/5mg tablet

4.7 (13 reviews)
๐Ÿญ Brilliant Lifesciences Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Aug 22, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Aug 22, 2026

What is breetel rm 40mg/5mg tablet used for?

Arbitel R 40 mg/5 mg Tablet (Telmisartan + Ramipril) is used to treat CARDIAC. It contains Telmisartan (40mg) + Ramipril (5mg), which Telmisartan blocks angiotensin II AT1 receptors; Ramipril inhibits ACE, reducing. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Telmisartan + Ramipril
  • Manufacturer: Brilliant Lifesciences Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

๐Ÿ’Š breetel rm 40mg/5mg tablet Uses & Benefits

Hypertension, diabetic nephropathy, heart failure, post-myocardial infarction.

Off-label uses: Migraine prophylaxis (telmisartan), Marfan syndrome (ARBs).

๐Ÿ“‹ Drug Information

Generic Name(s)Telmisartan + Ramipril
Brand NameArbitel R 40 mg/5 mg Tablet
ManufacturerBrilliant Lifesciences Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassAngiotensin II Receptor Blocker (ARB) + Angiotensin-Converting Enzyme Inhibitor (ACEI)
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from moisture and light.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionTelmisartan: Rapidly absorbed; Ramipril: Rapidly absorbed after oral administration.
DistributionTelmisartan: High volume of distribution; Ramipril: Widely distributed.
Protein BindingTelmisartan: >99.5%; Ramipril: 73% (Ramiprilat).
MetabolismTelmisartan: Glucuronidation; Ramipril: Hepatic to active metabolite Ramiprilat.
Half-LifeTelmisartan: ~24 hours; Ramipril: 13-17 hours (Ramiprilat).
ExcretionTelmisartan: Feces (97%); Ramipril: Renal (60%) and fecal (40%).
BioavailabilityTelmisartan: 42-58%; Ramipril: 50-60%.
Onset of ActionTelmisartan: 1-2 hours; Ramipril: 1-2 hours.
Peak Plasma TimeTelmisartan: 0.5-1 hour; Ramipril: 1-3 hours (Ramiprilat).
Duration of ActionTelmisartan: ~24 hours; Ramipril: ~24 hours.

How It Works

Telmisartan blocks angiotensin II AT1 receptors; Ramipril inhibits ACE, reducing angiotensin II and aldosterone.

Mechanism Steps

1Telmisartan selectively blocks AT1 receptors, preventing angiotensin II-mediated vasoconstriction and aldosterone release.
2Ramipril inhibits ACE, reducing conversion of angiotensin I to angiotensin II, decreasing vasoconstriction and aldosterone secretion.
3Combined effect: Enhanced vasodilation, reduced blood pressure, decreased sodium and water retention.

๐Ÿ’ก How to Take breetel rm 40mg/5mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of breetel rm 40mg/5mg tablet

โœ… Common Side Effects

  • Dizziness
  • Cough
  • Hyperkalemia
  • Hypotension
  • Headache
  • Fatigue

๐Ÿšจ Serious Side Effects

  • Angioedema
  • Renal impairment
  • Hepatotoxicity
  • Neutropenia
  • Fetal toxicity

โš ๏ธ Rare Side Effects

  • Pancreatitis
  • Stevens-Johnson syndrome
  • Anaphylaxis
  • Agranulocytosis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Potassium-sparing diuretics Major Increased risk of hyperkalemia
Lithium Major Increased lithium toxicity
NSAIDs Major Reduced antihypertensive effect, increased renal impairment risk
Aliskiren Major Increased risk of hypotension, hyperkalemia, renal dysfunction
Sacubitril/valsartan Major Increased risk of angioedema
Diuretics Moderate Additive hypotensive effect
Antidiabetic agents Moderate Enhanced hypoglycemic effect
Corticosteroids Moderate Reduced antihypertensive effect
Amifostine Moderate Enhanced hypotensive effect
Antacids Minor Slight reduction in absorption
Digoxin Minor Possible increased digoxin levels
Warfarin Minor No significant interaction reported

๐Ÿšจ Major Interactions

  • Potassium-sparing diuretics
  • Lithium
  • NSAIDs
  • Aliskiren
  • Sacubitril/valsartan

โšก Moderate Interactions

  • Diuretics
  • Antidiabetic agents
  • Corticosteroids
  • Amifostine

โ„น๏ธ Minor Interactions

  • Antacids
  • Digoxin
  • Warfarin

๐Ÿฝ๏ธ Food Interactions

Avoid high-potassium foods; take with or without food.

๐Ÿท Alcohol Interaction

May potentiate hypotensive effects; limit alcohol intake.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Pregnancy, history of angioedema, bilateral renal artery stenosis, hypersensitivity to ARBs or ACEIs, concomitant use with aliskiren in diabetes.

๐Ÿ“Š Monitoring Parameters

Blood pressure, renal function, serum potassium, liver function, blood glucose.

๐Ÿคฑ Lactation Safety

Not recommended; avoid breastfeeding.

๐Ÿ’Š Overdose Management

Symptomatic and supportive; monitor blood pressure, renal function, electrolytes; consider gastric lavage.

โฐ Missed Dose

Take as soon as remembered; skip if near next dose; do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Aug 22, 2026

๐Ÿ”— View Profile

โญ User Reviews

Verified User Jul 10, 2026

Found this to be a helpful product. Good results.

Regular Customer Jul 10, 2026

Found this to be a helpful product. Good results.

Verified User Jul 10, 2026

Good quality medicine. Satisfied with the outcome.

Certified Buyer Jul 10, 2026

Helpful and effective medicine as per my experience. Always consult a doctor.

Regular Customer Jul 10, 2026

This medicine was effective for me. I followed the doctor's advice.

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